Ectopic Pregnancy Treatment

An ectopic pregnancy occurs when a fertilized egg grows outside of the uterus. Almost all ectopic pregnancies—more than 90%—occur in a fallopian tube. As the pregnancy grows, it can cause the tube to burst (rupture). A rupture can cause major internal bleeding. This can be a life-threatening emergency that needs immediate surgery.

If you do not have the symptoms of a fallopian tube rupture but another health care professional suspects you may have ectopic pregnancy, we may:

Perform a pelvic exam
Perform an ultrasound exam to see where the pregnancy is developing
Test your blood for a pregnancy hormone called human chorionic gonadotropin (hCG)
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Symptoms of Ectopic Pregnancy

At first, an ectopic pregnancy may feel like a typical pregnancy with some of the same signs, such as a missed menstrual period, tender breasts, or an upset stomach.

Other signs may include:

Abnormal vaginal bleeding
Low back pain
Mild pain in the abdomen or pelvis
Mild cramping on one side of the pelvis
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At this stage, it may be hard to know if you are experiencing a typical pregnancy or an ectopic pregnancy. Abnormal bleeding and pelvic pain should be reported to your obstetrician–gynecologist (ob-gyn) or other health care professional.

As an ectopic pregnancy grows, more serious symptoms may develop, especially if a fallopian tube ruptures. Symptoms may include the following:
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Sudden, severe pain in the abdomen or pelvis
Shoulder painWeakness, dizziness, or fainting
A ruptured fallopian tube can cause life-threatening internal bleeding.

If you have sudden, severe pain; shoulder pain; or weakness, you should go to an emergency room.
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